Provider Demographics
NPI:1033934963
Name:SKLENAR, MICHELLE (COTA/L)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:SKLENAR
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4700 FAULKNER CT
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-2863
Mailing Address - Country:US
Mailing Address - Phone:308-293-7500
Mailing Address - Fax:
Practice Address - Street 1:4700 FAULKNER CT
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-2863
Practice Address - Country:US
Practice Address - Phone:308-293-7500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-15
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE868224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant